| NPI | 1568471282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60219192) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006023101) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2006023101) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2006023101) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-02-04 |